Physical abuse disclosure — DCH MCQ

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EasySafeguardingPhysical abuse disclosureDCH

A 6-year-old boy has loop-shaped bruises on his back and posterior thighs. His father says that the child is clumsy, but the child quietly says that his father hits him with a cable when he is naughty. What is the most appropriate next step?

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Correct answer: C — Document his exact words and make an urgent referral to children's social care

The correct answer is C. Loop-shaped bruising is patterned bruising consistent with an implement, and the child's account is a direct disclosure of ongoing physical abuse. Record his words accurately, distinguishing observation from reported history, and make an urgent referral to children's social care through the local safeguarding pathway while ensuring his immediate safety. Confirmation from the school is not required and must not delay action. Analgesia may be offered but does not address the safeguarding risk. A promise from the alleged perpetrator is not protective. Clinical photographs, if required, must be obtained using approved local procedures and equipment, not a personal phone.

Reference: National Institute for Health and Care Excellence. Child maltreatment: when to suspect maltreatment in under 18s (CG89), sections 1.1.1 and Using this guidance. Updated 2025. https://www.nice.org.uk/guidance/cg89/chapter/Using-this-guidance